Individual
BRIAN WIENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, SCD
Contact information
Practice address
3320 S SYCAMORE AVE, SUITE 150, SIOUX FALLS, SD 57110-4532
(605) 231-5590
(605) 231-5589
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
(630) 590-4329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0639
SD
2251X0800X
Orthopedic Physical Therapist
0639
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316195209
WELLMARK BCBS/TRICARE
—
01
—
9296204
DAKOTACARE
—
Enumeration date
09/04/2008
Last updated
10/05/2016
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